DOROTHY WHATLEY PORTER (PA) – Medical Physician Assistant, NPI 1871849133

DOROTHY WHATLEY PORTER (PA) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9106692 (FL). The NPI Number for DOROTHY WHATLEY PORTER (PA) is 1871849133

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DOROTHY WHATLEY PORTER (PA)
NPI
1871849133
Phone
(904) 483-5826
Address
4800 BELFORT RD
Enumeration Date
24 July 2012
Last Update Date
23 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867881242
Graduation Year
2012 (14 years ago)
PAC ID
9739336546
Group Practice PAC ID
6507761301
Professional Enrollment ID
I20120830000323
Address ID
FL321292349PO3635XBLVD504
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DOROTHY WHATLEY PORTER (PA)

  • 4800 BELFORT RD

    JACKSONVILLE, FL 322566004

    Phone: (904) 483-5826

    Fax: (904) 265-6409

    Type: Mailing

  • 3635 S CLYDE MORRIS BLVD

    SUITE 100

    PORT ORANGE, FL 321292300

    Phone: (386) 788-1242

    Fax: (386) 756-8802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $2,047.

Total Amount is formed as General ($2,047) + Research ($0) + Ownership ($0) = $2,047.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($757).

Total Amount

$2,047

General + Research + Ownership

Payments

110

Total payment records

General Amount

$2,047

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120830000323IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes746568$0
99204New patient office or other outpatient visit, 45-59 minutes101101$0
99215Established patient office or other outpatient visit, 40-54 minutes9184$0
99213Established patient office or other outpatient visit, 20-29 minutes4543$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 32256)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507761301View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
P A T H O L O G YFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YFL
Internal Medicine, GastroenterologyFL
Internal Medicine, GastroenterologyFL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

Can I cross-check DOROTHY WHATLEY PORTER (PA) using NPI 1871849133?
NPI 1871849133 belongs to DOROTHY WHATLEY PORTER (PA); compare other details if you need extra assurance.
Would DOROTHY WHATLEY PORTER (PA) appear as active to a payer?
You can treat DOROTHY WHATLEY PORTER (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DOROTHY WHATLEY PORTER (PA)?
DOROTHY WHATLEY PORTER (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is DOROTHY WHATLEY PORTER (PA) registered?
Use Jacksonville, Florida as the headline location for DOROTHY WHATLEY PORTER (PA) here.
Does DOROTHY WHATLEY PORTER (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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